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Pyogenic liver abscess causing acute Budd-Chiari syndrome.

G Mehrotra1, R P Singh, A Krishna

  • 1Department of Radiology, University College of Medical Sciences, Delhi, India.

Annals of Tropical Paediatrics
|January 1, 1992
PubMed
Summary

Acute Budd-Chiari syndrome in children is rare. A staphylococcal liver abscess can compress the inferior vena cava, requiring high suspicion for early intervention.

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Area of Science:

  • Hepatology
  • Pediatric Gastroenterology
  • Infectious Diseases

Background:

  • Acute Budd-Chiari syndrome (BCS) is uncommon in pediatric populations.
  • Inferior vena cava (IVC) compression by intrahepatic lesions is a rare cause of BCS.
  • Staphylococcal liver abscesses are infrequent but serious pediatric infections.

Observation:

  • A case of acute Budd-Chiari syndrome in a child is presented.
  • The syndrome was caused by compression of the inferior vena cava (IVC).
  • The compression resulted from a large staphylococcal abscess in the right lobe of the liver.

Findings:

  • The staphylococcal liver abscess acted as a space-occupying lesion.
  • The abscess led to significant compression of the inferior vena cava.

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  • This compression resulted in the clinical presentation of acute Budd-Chiari syndrome.

    • Implications:

    • Early diagnosis of hepatic abscesses causing IVC compression is critical in children.
    • A high index of suspicion for this rare presentation is vital for prompt management.
    • Timely intervention can significantly improve outcomes and prevent life-threatening complications in pediatric BCS.